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Rhode Island · Birth

Rhode Island Contact Preference Form for Birth Parents of Adopted Children

Official state formAdoptionFree downloadLast verified November 10, 2026

Lets a birth mother or birth father say whether they want contact, contact through an intermediary, or no contact if the original birth certificate is released. It is returned to the Rhode Island State Office of Vital Records.

Who can use this form

  • A birth mother of an adopted child
  • A birth father of an adopted child

What to send with it

  • The fully completed form (the office cannot accept it unless it is fully completed)
  • The form can be filled out on a computer before printing, or printed clearly by hand
  • A medical history form is filed separately with the Rhode Island Family Court, Voluntary Adoption Reunion Registry

Where to send it

Mail to
Rhode Island Department of Health State Office of Vital Records 6 Harrington Rd Cranston, RI 02920
State fee
Not provided
Typical processing
Not provided
Source
Not provided
Back to Rhode Island forms
Rhode Island Contact Preference Form for Birth Parents of Adopted Children | Rhode Island Form